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Prosthetic Knee, Exoskeletal Four-Bar, Pneumatic Swing

Arkansas rates for HCPCS L5614

Addition to lower extremity, exoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with pneumatic swing phase control

Rates data updated July 2026.

Facilitymedian $380,189 · 10th–90th $1,148$891,2510%10%20%10th90th$380,189Professionalmedian $1,023 · 10th–90th $603$1,3490%20%10th90th$1,023$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,096.48
Typical High
$1,348.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,380.38
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$977.24
Typical High
$1,380.38